MEMORANDUM OF COSTS AFTER JUDGMENT, ACKNOWLEDGMENT OF CREDIT, AND DECLARATION OF ACCRUED INTEREST

1. I claim the following costs after judgment incurred within the last two years (indicate if there are multiple items in any category): a TO Preparing and issuing abstract of judgment b Recording and indexing abstract of judgment c Filing notice of judgment lien on personal property d e

4. Acknowledgment of Credit. I acknowledge total credit to date (including returns on levy process and direct payments) in the amount of: $

Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to sustained as a result of your failure to comply.

Witness, Honorable , one of the Justices of the Court in County, day of , 20 5. Declaration of Accrued Interest. Interest on the judgment accruing at the legal rate from the date of entry on balances due after
partial satisfactions and other credits in the amount of: $

6. I am the agent for the judgment creditor attorney for the judgment creditor. judgment creditor (Attorney must sign above and type name below) I have knowledge of the facts concerning the costs claimed above. To the best of my knowledge and belief, the costs claimed are correct, reasonable, and necessary, and have not been satisfied. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:

NOTICE TO THE JUDGMENT Office and P.O. Address DEBTOR If this memorandum of costs is filed at the same time as an application for a writ of execution, any statutory costs, not exceeding $100 in aggregate and not already allowed by the court, may be included in the writ of execution. The fees sought under this memorandum may be disallowed by the court upon a motion to tax filed by the debtor, notwithstanding the fees having been Telephone No.: included in the writ of execution. (Code Civ. Proc., § 685.070(e).) A motion to tax costs claimed in this memorandum must be filed within 10 days after service of the memorandum. (Code Civ. Proc., § 685.070(c).) Facsimile No.:
Form Adopted for Mandatory Use Judicial Council of California MC-012 [Rev January 1, 2000]

PROOF OF SERVICE Mail Personal Service
1. At the time of service I was at least 18 years of age and not a party to this legal action. 2. My residence or business address is (specify):

3. I mailed or personally delivered a copy of the Memorandum of Costs After Judgment, Acknowledgment of Credit, and Declaration of Accrued Interest as follows (complete either a or b): a. Mail. I am a resident of or employed in the county where the mailing occurred. (1) I enclosed a copy in an envelope AND (a) deposited the sealed envelope with the United States Postal Service with the postage fully prepaid. (b) placed the envelope for collection and mailing on the date and at the place shown in items below following our ordinary business practices. I am readily familiar with this business's practice for collecting and processing correspondence for mailing. On the same day that correspondence is placed for collection and mailing, it is deposited in the ordinary course of business with the United States Postal Service in a sealed envelope with postage fully prepaid. (2) The envelope was addressed and mailed as follows: (a) Name of person served: (b) Address on envelope:

(c) Date of mailing: (d) Place of mailing (city and state): b. Personal delivery. I personally delivered a copy as follows: (1) Name of person served: (2) Address where delivered:

(3) Date delivered: (4) Time delivered: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: